Multi-level intervention to promote healthy beverage choices among Navajo families

多层次干预促进纳瓦霍家庭选择健康饮料

• 批准号: 10776269
• 负责人: Carmen George
• 金额: $ 58.03万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-24 至 2028-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10776269
• 关键词: 6 year old; Address; Adult; Advocate; Back; Behavior; Beverages; Body mass index; Cardiometabolic Disease; Caregivers; Child; Childhood; Chronic; Chronic Disease; Cluster randomized trial; Colonialism; Communities; Comparative Effectiveness Research; Consent; Consumption; Control Groups; Data; Dental caries; Diabetes Mellitus; Diet; Diné Nation; Disparity; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Elderly; Enrollment; Ensure; Environment; Equity; Family; Family dynamics; Family health status; Family member; Future; Goals; Habits; Health; Health Personnel; Home; Hypertension; Indigenous; Individual; Intervention; Leadership; Link; Longevity; Media Campaign; Mentorship; Methods; Modeling; Native-Born; Navajo; Nutrition Policy; Outcome; Parents; Pattern; Personal Satisfaction; Population; Prediabetes syndrome; Randomized; Research; Reservations; Risk; Risk Factors; Rural; Shapes; Site; Spirituality; System; Waiting Lists; Water; aged; cardiovascular risk factor; cohesion; community based participatory research; community engagement; community involvement; design; disorder risk; drinking water; early childhood; effective intervention; effectiveness study; experience; family structure; group intervention; health disparity; health equity; health equity promotion; health literacy; indigenous community; innovation; interest; intergenerational; member; multidisciplinary; obesity risk; primary caregiver; programs; prospective; protective factors; social media; sugar; sweetened beverage; therapy design; tribal college; tribal community; university student; water quality

PROJECT ABSTRACT Sugar-sweetened beverage (SSB) consumption in early childhood has profound implications on future health risks into adulthood. Family-based strategies have demonstrated effectiveness in reducing chronic health risk among children, yet few family-based interventions have specifically targeted healthy beverage consumption. This study advances a long-term goal of developing scalable, multi-level interventions to promote intergenerational health among indigenous families. Using community-based participatory methods and an indigenous conceptual framework – the Navajo Wellness Model – we will conduct a cluster randomized trial to study the effectiveness of Water is K’é, an innovative multi-level intervention designed to promote healthy beverage consumption through strengthened connections with Navajo culture, health information and access to reliable drinking water. Early child education sites will be randomly assigned to immediate or delayed intervention. Children enrolled in the programs, their primary caregiver and other family members will be enrolled and followed for 12 months to assess beverage consumption, health outcomes, as well as family cohesion and cultural continuity. Using a mixed methods design, we will explore how intergenerational family dynamics influence the way in which Water is K’é shapes family health and wellbeing. Finally, we will build greater research capacity in among Navajo partners through Community Advisory Group guidance and leadership, as well as mentorship of tribal college students interested in community research.

项目摘要 儿童早期的含糖饮料（SSB）消费对未来的健康具有深远的影响 成年后的风险以家庭为基础的战略已证明在减少慢性健康风险方面有效 在儿童中，很少有以家庭为基础的干预措施专门针对健康饮料消费。 这项研究提出了一个长期目标，即制定可扩展的、多层次的干预措施，以促进 土著家庭的代际健康。利用社区参与方法和 土著概念框架-纳瓦霍健康模型-我们将进行一项随机分组试验， 研究水是K 'é的有效性，这是一种创新的多层次干预措施，旨在促进健康 通过加强与纳瓦霍文化、健康信息和获取的联系， 可靠的饮用水。早期儿童教育网站将被随机分配到即时或延迟 干预参加该计划的儿童，他们的主要照顾者和其他家庭成员将 入选并随访12个月，以评估饮料消费、健康结果以及家庭状况。 凝聚力和文化连续性。使用混合方法设计，我们将探讨代际家庭如何 动态影响着“水是K 'é”塑造家庭健康和福祉的方式。最后，我们将建立 通过社区咨询小组的指导，提高纳瓦霍伙伴的研究能力， 领导，以及对社区研究感兴趣的部落大学生的导师。